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Organization

MIND BODY CONNECTION COUNSELING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATELYN MARIE CROMPTON LMHC, R-DMT (THERAPIST)
(401) 409-5509
Entity
Organization

Contact information

Practice address
542 CENTRAL AVE, PAWTUCKET, RI 02861-5919
(401) 409-5509
Mailing address
542 CENTRAL AVE, PAWTUCKET, RI 02861-5919

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
02/17/2022
Last updated
02/13/2023
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